We went through this in the 70s and 80s. We had state run facilities, homes and hospitals for the mentally ill. In the late 80s the media started reporting on the bad conditions for the patients. After years of this exposure NY state and others shut down most of the system in the early 90s. This is why there is no program in place today. The reasons why are many. The biggest reason is human nature. There are probably a dozen large psychiatric hospitals that are abandoned across NY state.